Healthcare Provider Details

I. General information

NPI: 1275499915
Provider Name (Legal Business Name): UNITED SENIOR CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6185 BUFORD HWY BLDG C2
PEACHTREE CORNERS GA
30071-2350
US

IV. Provider business mailing address

6088 BUFORD HWY NE
ATLANTA GA
30340-1334
US

V. Phone/Fax

Practice location:
  • Phone: 770-314-0104
  • Fax:
Mailing address:
  • Phone: 770-314-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DUANE SELLS
Title or Position: PARTNER
Credential:
Phone: 770-314-0104